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/ 0/Pli i TRANSMISSION VERIFICATION REPORT <br /> 0 0 e cej. <br /> 9\1- <br /> TIME : 10/14/2010 15:53 <br /> / <br /> NAME : DANE CO PLANNING <br /> rv/ �-- � ' FAX : 608-267-1540 <br /> ( � f CTEL : 608-266-4251 <br /> ckfke..._,,_ 1 v+i ,©C ' ER. <br /> # : 000L7N293087 <br /> DATE,TIME 10/14 15:52 <br /> FAX NO./NAME 92426435 <br /> DURATION 00:00:25 <br /> PAGE(S) 01 <br /> RESULT OK <br /> MODE STANDARD <br /> ECM <br /> pr Y14 M occ e va /0/0'1110 z y2.- (o <br /> Application Number APP-37455 <br /> ANE COUNTY ZONING PERMIT Pa e l ot2 ZONIP20090 83 NO. <br /> 9 Z200905 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME • PHONE • AGENT/CONTRACTOR NAME PHONE <br /> BOW WOW ENTERTAINMENT LLC (608)695-3421 GERALD WOOD (608)837-7722 <br /> BILLING ADDRESS (Numbx,Street) ADDRESS (Number,Street) <br /> 4935 REINER • 3370 BURKE ROAD <br /> (City.State.Zip) (City.State,ZIP) <br /> MADISON,WI 53718 SUN PRAIRIE,WI 53590 <br /> E•MAI1,ADDRESS E-MAIL ADDR12SS <br /> PARCEL NO. I TOWNSHIP SECTION • '/n V/4 <br /> 0911-081-8500-1 BRISTOL 08 IMI NW <br /> PROPERTY ADDRESS HOUSE NO. ST,DIRECTION STREET NAME ST,TYPE <br /> . (Assignment of new address Issubject 7653 COUNTY HIGHWAY N <br /> to said verification,) <br /> LOT BLOCK C.S.M.NO,gs PLAT NAME <br /> • METES AND BOUNDS: METES AND BOUNDS <br /> T— <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT❑New 61 Addltlon/Alteration CENSUS CODE <br /> B-1 0.4053 Desuiptien,36.5'X 8.5'X 8.1'SMOKING ENCLOSURE 327 — STORES <br /> CATEGORY ❑Residentlal + Commercial 0Agrlculturat SEWER SANITARY PERMIT NO. <br /> ❑Other. 0 Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 0 Dyes 0 N <br /> SHORELAND FLOOD ZONE• WETLAND EC/SW NO. <br /> NYes ❑NO ❑Yes No ❑Yea No <br /> HEIGHT(In Feet) BASEMENT 1,.-_t FLOOR TOTAL.SQUARE FEET ,3$ <br /> 8.1 238 <br /> Sq,FL, Sq,Ft., PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Std FLOOR $ 3,500.00 <br /> PERMIT FEE <br /> 1 $ 414.00 <br /> Sq,Ft, S4.Ft. <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that <br /> information.I further certify I am the owner of the property,or a duly authorized representative,and may sign this permit application on behalf of the <br /> owner(s) of said property, and 1 have read and understand all of the conditions of this permit and will construct the project in compliance with <br /> those conditions.I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. <br /> 2, I,the undersigned,hereby certify that; <br /> • I have made a diligent Inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have riot relied upon any statements of County employees in giving these assurances: <br />